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31
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diagnosis
management
nephrology
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Atlas of
Urine
Microscopy ... also be seen if
urine
... glomerular disease •
Leukocytes
... • “Muddy brown
cast
... contamination #
Urine
Urinalysis &
Urine
... • Ketones •
Leukocyte
... • Urinary
casts
... dipstick #nitrite #
leucocyte
-esterase ... #
urine
#UNa #
casts
Hematuria
Workup
... WBCs, or
urine
... →
Urine
culture ... proteinuria, RBC
casts
... Diagnosis #Algorithm #
Workup
PROBLEM ~80% of AKI
cases
... IMPROVEMENT If the
urine
... for WBCs, RBCs,
casts
... KidneyInjury #simplified #
workup
investigations and
treatments
... >21 days - No
leukocytes
... in
urine
- Procalcitonin
Urine
Microscopy ... Preparation of the
urine
... protein, blood or
leukocyte
... up by cells or
casts
... protein matrix of
casts
Lysis Syndrome -
Workup
... Management Initial
workup
... uric acid, LDH,
Urine
... of the above
Treatment
Diagnosis and
Treatment
... vast majority of
cases
... 3 questions to
work
... Measure
urine
osmolality ...
Treatment
:
Treatment
• Immunologic
Workup
... Positive in 60-80% of
cases
... life-threatening •
Treatment
mononeuritis multiplex
WORKUP
... Anti-GBM antibody •
Urine
... : UA,
Urine
protein ... hematuria, RBC
casts
... diagnosis #management #
treatment
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